Exam 1 Flashcards
BMI Formula
[kg/m] squared
BMI<18.5
Underweight
BMI 18.5-24.9
Normal
BMI 25-29.9
Overweight
BMI 30+
Obese
Emergent Physical Exam Acronym w/ Meaning
AMPLE
(Allergies, Meds, PMH, Last Meal, Events leading up to Sx)
High Risk Procedures per Lecture (>5%)
Aortic, Major Vascular, Peripheral Vascular
Intermediate Risk Procedures per Lecture (1%-5%)
Intra thoracic, Intra abdominal, Carotid Endarterectomy, Head/Neck Sx
Low Risk Procedures per Lecture (<1%)
Anything else besides the high and intermediate risks listed
For function Capacity
> 4 METs
1 MET = ?
3.5 mL/kg/min
ASA 1
Normal Healthy Pt
ASA 2
Pt w/ mild systemic disease
smoker, social drinker, pregnant, obese <40 BMI, DM/HTN, mild lung disease
ASA 3
Pt w/ severe systemic disease
Pt w/ Substantial functional limitations like uncontrolled HTN, DM, COPD, Obese >40 BMI, ESRD w/ dialysis, CVA, MI
ASA 4
Pt w/ severe systemic disease that is a constant threat to life
*Most Pts in ICU
*MI, CVA, Severe valve dysfunction, Sepsis, DIC, ARDS, ESRD w/out dialysis
ASA 5
Pt not expected to survive w/out surgery
*Only ASA to mention Sx
Rupture Triple A, trauma, hemorrhage, ischemic bowel with MODS
ASA 6
Brain dead pt